Show simple item record

dc.contributor.authorRosenbaum, Janet E
dc.contributor.authorDiClemente, Ralph J
dc.date.accessioned2023-03-01T19:15:10Z
dc.date.available2023-03-01T19:15:10Z
dc.date.issued2020-07-27
dc.identifier.citationRosenbaum JE, DiClemente RJ. Reproductive coercion sometimes works: evaluating whether young African-American women who experience reproductive coercion or birth control sabotage are more likely to become pregnant. Health Serv Outcomes Res Methodol. 2020;20(4):265-282. doi: 10.1007/s10742-020-00213-9. Epub 2020 Jul 27. PMID: 32837268; PMCID: PMC7384393.en_US
dc.identifier.issn1387-3741
dc.identifier.doi10.1007/s10742-020-00213-9
dc.identifier.pmid32837268
dc.identifier.urihttp://hdl.handle.net/20.500.12648/8422
dc.description.abstractMen engaging in reproductive coercion may coerce, force, or deceive female partners into pregnancy. This study evaluates whether the 3-month incidence of pregnancy is higher among women reporting reproductive coercion than similar women reporting no reproductive coercion. We tested this hypothesis in longitudinal data from a sample of African-American women ages 18-24 recruited from community settings in Atlanta, Georgia, US, in 2012-2014 (n = 560). Participants were surveyed at baseline, 3 months, 6 months, 9 months, and 12 months. To reduce selection bias, we used full matching on 22 baseline variables related to demographics, economic power, risky alcohol use, and gender-based power inequality. We used logistic regression in the matched sample with outcome pregnancy 3 months later, controlling for baseline fertility intentions (n = 482, n = 458, n = 452 at respectively 3, 6, 9 months). At 3 months, 15% of women reported reproductive coercion. At 6 months, 11.3% of women reporting coercion were pregnant vs. 4.6% of matched women reporting no coercion ( = 0.06). Women reporting coercion had 3 times the odds of pregnancy as matched women reporting no coercion (AOR 2.95, 95% CI (1.16, 6.98),  = 0.02). Among women pregnant after coercion, only 15% wanted to be pregnant then or sooner. Women reporting reproductive coercion are at greater risk of unwanted or mistimed pregnancies, and the semen exposure that caused these pregnancies could also transmit STI/HIV. Clinicians should screen patients for reproductive coercion; consider using semen exposure biomarkers such as PSA or Yc-PCR to identify condom sabotage or stealthing; and refer women experiencing reproductive coercion to supportive services.
dc.language.isoenen_US
dc.relation.urlhttps://link.springer.com/article/10.1007/s10742-020-00213-9en_US
dc.rights© Springer Science+Business Media, LLC, part of Springer Nature 2020.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectFull matchingen_US
dc.subjectIntimate partner violenceen_US
dc.subjectPropensity matchingen_US
dc.subjectReproductive coercionen_US
dc.subjectUnplanned pregnancyen_US
dc.titleReproductive coercion sometimes works: evaluating whether young African-American women who experience reproductive coercion or birth control sabotage are more likely to become pregnant.en_US
dc.typeArticle/Reviewen_US
dc.source.journaltitleHealth services & outcomes research methodologyen_US
dc.source.volume20
dc.source.issue4
dc.source.beginpage265
dc.source.endpage282
dc.source.countryUnited States
dc.source.countryNetherlands
dc.description.versionVoRen_US
refterms.dateFOA2023-03-01T19:15:10Z
html.description.abstractMen engaging in reproductive coercion may coerce, force, or deceive female partners into pregnancy. This study evaluates whether the 3-month incidence of pregnancy is higher among women reporting reproductive coercion than similar women reporting no reproductive coercion. We tested this hypothesis in longitudinal data from a sample of African-American women ages 18-24 recruited from community settings in Atlanta, Georgia, US, in 2012-2014 (n = 560). Participants were surveyed at baseline, 3 months, 6 months, 9 months, and 12 months. To reduce selection bias, we used full matching on 22 baseline variables related to demographics, economic power, risky alcohol use, and gender-based power inequality. We used logistic regression in the matched sample with outcome pregnancy 3 months later, controlling for baseline fertility intentions (n = 482, n = 458, n = 452 at respectively 3, 6, 9 months). At 3 months, 15% of women reported reproductive coercion. At 6 months, 11.3% of women reporting coercion were pregnant vs. 4.6% of matched women reporting no coercion ( = 0.06). Women reporting coercion had 3 times the odds of pregnancy as matched women reporting no coercion (AOR 2.95, 95% CI (1.16, 6.98),  = 0.02). Among women pregnant after coercion, only 15% wanted to be pregnant then or sooner. Women reporting reproductive coercion are at greater risk of unwanted or mistimed pregnancies, and the semen exposure that caused these pregnancies could also transmit STI/HIV. Clinicians should screen patients for reproductive coercion; consider using semen exposure biomarkers such as PSA or Yc-PCR to identify condom sabotage or stealthing; and refer women experiencing reproductive coercion to supportive services.
dc.description.institutionSUNY Downstateen_US
dc.description.departmentEpidemiology and Biostatisticsen_US
dc.description.degreelevelN/Aen_US
dc.identifier.journalHealth services & outcomes research methodology


Files in this item

Thumbnail
Name:
10742_2020_Article_213.pdf
Size:
1.396Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

© Springer Science+Business Media, LLC, part of Springer Nature 2020.
Except where otherwise noted, this item's license is described as © Springer Science+Business Media, LLC, part of Springer Nature 2020.